Reduction of benefits where no second opinion obtained

Checkout our iOS App for a better way to browser and research.

17B:27-46.6. Reduction of benefits where no second opinion obtained

Where a second surgical opinion program is operative in connection with surgical coverage under a group insurance policy, and provides second and third surgical opinion services at no cost to the insured or patient, the group policy may, as an incentive to encourage utilization of the program when elective surgery is proposed, provide reduced benefits for the surgeon's charges for such elective surgery if it is performed without first obtaining a second or third opinion confirming that the proposed elective surgery was advisable.

L.1979, c. 329, s. 5.


Download our app to see the most-to-date content.